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All Journal Nurse Media Journal of Nursing Jurnal Bidan Prada Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)
Purba, Juliani
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Health Professions Medicine & Pharmacology Nursing Public Health

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KETIDAKIKUTSERTAAN MENJADI AKSEPTOR KB PADA IBU BERSALIN PESERTA JAMPERSAL DI RSUD DR.DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013 Purba, Juliani; Wahyuni, Tengku Sri; Sirait, Sri Hernawati
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 9 No 1 (2014): Jurnal Ilmiah PANNMED Periode Mei-Agustus 2014
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Abstract

Sumatera Utara dengan angka fertilitas 3,8 merupakan provinsi keempat terbesar jumlah penduduknya di Indonesia. Sebagai upaya untuk pengendalian jumlah penduduk dan keterkaitannya dengan Jaminan Persalinan (Jampersal), maka pelayanan KB pada masa nifas perlu mendapatkan perhatian. Tatalaksana pelayanan KB mengacu kepada pedoman pelayanan KB dan KIA yang diarahkan pada Metode Kontrasepsi Jangka Panjang (MKJP) atau Kontrasepsi Mantap (Kontap). Penelitian ini bertujuan untuk menganalisis  faktor-faktor yang berhubungan dengan ketidakikutsertaan menjadi akseptor KB pada ibu bersalin peserta Jampersal di RSUD Dr.Djasamen Saragih Pematangsiantar. Penelitian ini merupakan Explanatory Research dengan pendekatan cross sectional. Sampel adalah 41 ibu bersalin peserta jampersal di RSUD Dr. Djasamen Saragih Pematangsiantar ditentukan dengan cara consecutive sampling. Pengumpulan data dengan cara wawancara menggunakan kuesioner. Analisis data meliputi tahapan analisis univariat, analisis bivariat dengan  uji chi square, analisis multivariat dengan uji regresi logistik ganda dengan kemaknaan p<0,05 dan rasio prevalen dengan CI 95%. Hasil penelitian ini mendapatkan proporsi ibu bersalin peserta Jampersal di RSUD Dr. Djasamen Saragih Pematangsiantar tahun 2013 ada 22  (53,7%) yang tidakikut menjadi akseptor KB. Hasil analisis bivariat menunjukkan bahwa faktor predisposisi yaitu umur dan paritas berhubungan dengan ketidakikutsertaannya menjadi akseptor KB dengan nilai p= 0,032; RP 0,50  dan CI 0,28-0,88 dan p= 0,003; RP 3,19; CI (1,31-7,74). Hasil analisis multivariat menunjukkan bahwa paritas merupakan variabel  yang paling dominan dari ibu bersalin peserta  Jampersal dengan ketidakikutsertaannya menjadi akseptor KB. Diharapkan kepada kepada petugas kesehatan yang memberikan pelayanan pemeriksaan kehamilan, persalinan dan nifas hendaknya memberikan pendidikan kesehatan kepada ibu agar menggunakan alokontrasepsi tanpa harus menunggu selesai masa nifas dan bagi ibu dengan paritas ≤ 2 diharapkan tetap menggunakan MKJP dengan tujuan untuk mengatur waktu yang tepat untuk hamil, mengatur jarak kehamilan dan menentukan jumlah anak.
PERBANDINGAN EFEKTIVITAS TERAPI PANAS DAN ENDORPHIN MASSAGE TERHADAP INTENSITAS NYERI KALA I FASE AKTIF PERSALINAN NORMAL IBU PRIMIPARA Wahyuni, Tengku Sri; Purba, Juliani; Batubara, Ardiana
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 10, No 1 (2019): Jurnal Bidan Prada Edisi Juni 2019
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Labor pain can cause stress which causes the release of excessive hormones such as catecholamines and steroids. Pain in labor can also cause hyperventilation so that oxygen needs increase, increase blood pressure, and decrease intestinal motility and urinary vesicles. Heat Therapy and Endorphine Massage is a non-pharmacological method that is thought to be effective in reducing labor pain. The purpose of this study was to compare the effectiveness of heat therapy and endorphin massage on the intensity of pain in the first active phase of normal labor in primiparous mothers at the Pematangsiantar city BPM. The type of research used is quasi-experimental. The population of this study was primiparous maternity during the active phase I who experienced normal labor in the Pematangsiantar City Independent Practice Midwife. The research sample consisted of two groups of 20 respondents each taken by purposive sampling technique, and certain inclusion criteria. The sampling technique was accidental sampling in April - June 2015, through interviews using questionnaires and the scale of pain measurement numerical rating scales (NRS). Analysis of the data used with T-Test on normal distributed data using Wilxocon and U Mann Whitney on data with abnormal distribution. The technique of heat therapy and endorphine massage is a non-pharmacological therapy that can reduce pain intensity during the first active phase of labor. There is the influence of heat therapy and endorphine massage on pain intensity during the first active phase in primiparous mothers with a value of p = 0.001. There is no difference in the effectiveness of heat therapy and endorphine massage techniques in reducing pain intensity during the first active phase in primiparous mothers. Midwives should be able to apply heat therapy techniques and endorphine massage to reduce pain intensity during the first active phase of labor and can also teach it to family / childbirth assistants. Keywords: Heat Therapy, Endorphin Massage, First Pain Intensity, Active Phase of Normal Labor, Primipara Mother
Effectiveness of Pelvic Floor Muscle Training and Yoga on the Quality of Life in Perimenopausal Women with Urinary Incontinence Purba, Juliani
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.32156

Abstract

Background: Urinary incontinence is a symptom of genitourinary disease in perimenopausal women that can seriously affect both physical and mental health and quality of life (QOL). Pelvic floor muscle training (PFMT) and yoga are the exercises that have been applied to treat urinary incontinence. Research that compares the effect of PFMT and yoga on improving the quality of life of women with urinary incontinence is necessary. Purpose: This study aimed to compare the effectiveness of PFMT and yoga to improve the QOL in perimenopausal women with urinary incontinence.Methods: A quasi-experimental study with a nonequivalent control group design involving 48 perimenopausal women with all types of urinary incontinence was conducted. The participants were selected by consecutive sampling and equally divided into two groups. Each group was given the PFMT intervention and yoga exercise three times a week for eight weeks. The QOL was assessed using the incontinence impact questionnaire short form (IIQ-7). The data were analyzed by the Mann-Whitney U test, Wilcoxon signed rank test, and paired sample t-test.Results: The mean (standard deviation) score of total IIQ-7 in the PFMT group were lower (3.58 [2.57]) than that in the yoga group (5.17 [2.14]; p=0.061). There were differences in IIQ-7 score in the domains of physical activity (p<0.001), social relationships (p<0.001), and traveling (p<0.001) in the PFMT group. In contrast, in the yoga group, differences were found only in the emotional health domain (p=0.039). The IIQ-7 score was better in the PFMT group than in the yoga group.Conclusion: PFMT was as effective as yoga exercise to improve the QOL. PFMT and yoga should be taught to perimenopausal women with urinary incontinence.
Co-Authors Ardiana Batubara Sri Hernawati Sirait Tengku Sri Wahyuni